News

The AHIMA World Congress (AWC) team used gap analysis to report new opportunities for Al Ain Hospital in the UAE. EDITOR’S NOTE: Dr. Lo will be a guest speaker during today’s edition of Talk Ten Tuesdays, and he offered the following thoughts with ICD10monitor ahead of the appearance. I am…
The “economic burden” of prescription opioid misuse is nearly $80 million. We were discussing opioid dependence in my CDI education session last week and it spurred me to write this article. Each week we review a topic often elicited by a real-life case. Opioid misuse and addiction is a public…
Complications of CKD include early death and heart disease. Chronic kidney disease (CKD) affects 15 percent of United States adults, or 37 million people, according to a recent statement by the Centers for Disease Control and Prevention (CDC).  The following are some basic facts about CKD; specifically, it is: More…
AI-powered solutions must align with applicable coding guidelines. Electronic health records (EHRs), clinical documentation software, and enabling technologies are working together in new and exciting ways to create accurate, robust, and concurrent patient documentation that improves quality of care while protecting healthcare organizations’ financial integrity. But as I wrote last…
AI-powered solutions must align with applicable coding guidelinesStreamlining the nation’s healthcare system to provide the highest quality of care at a lower cost for patients should be the goal of all healthcare organizations. While prioritizing this initiative, along with reducing waste and improper payments, much attention has been paid to…
Are payers playing fair when it comes to evaluating cases? It seems that every day there are articles or legislation in the state and federal government intended to put a stop to so-called “surprise bills.” Fingers are pointed, blame is placed, and causes are cited to support particular positions.  Surprise…
AMA is on track to revise E&M codes, set new documentation guidelines. The American Medical Association’s (AMA’s) CPT® Editorial Panel has approved many changes to the evaluation and management (E&M) documentation and coding guidelines. If finalized, the changes will shift the way practices select codes for both office and facility visits as…
Semantics aside, clinicians must recognize sepsis and treat it aggressively, to save lives. A few weeks ago, I had a fascinating discussion with Tim Brundage, a physician friend, and fellow clinical documentation improvement (CDI) expert, my co-chair on the American College of Physician Advisors (ACPA) CDI committee,  and I’d like…